How to monitor the fetus's health for diabetes-related risks?

Question

Hello doctor,

I am consulting my cousin, who is 30 years old and 40 days pregnant while undergoing IVF treatment. She recently discovered that she has both diabetes and hypothyroidism. To manage her diabetes, she administers insulin injections daily in her thigh, causing discomfort throughout the day. Additionally, she experiences severe leg pain.

Is it common for IVF patients to experience leg pain? Regarding her diabetes, should she continue taking insulin until delivery or indefinitely? If her diabetes is well-managed, can she discontinue insulin injections? Furthermore, what are the risks of the fetus developing diabetes, and how can we prevent this?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

It is uncommon to experience leg pain while taking insulin. It is advisable for her to maintain proper hydration and utilize a smaller injection needle when administering insulin, which can help alleviate discomfort over time. Throughout her pregnancy, she will likely continue insulin therapy, with dosage adjustments as necessary. Following delivery, her condition will be reassessed to determine whether she should continue with insulin, switch to alternative oral medications, or discontinue medication altogether. Well-controlled blood sugar during pregnancy can mitigate any adverse effects on the child due to diabetes.

I hope these suggestions help.

Thank you.

How to monitor the fetus's health for diabetes-related risks?

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